Simon Nourse

I have been working as an Advanced Clinical Practitioner (ACP) since 2021 with expertise in clinical assessment and emergency response. I have proven leadership of multidisciplinary teams focused on managing patient deterioration and ensuring high-quality care. I have integrated a database into my Critical Care Outreach Team (CCOT) and am responsible for data management initiatives that enhance patient outcomes and improve governance. My experience crosses four pillars of ACP, with a main emphasis on the clinical pillar I am also proactively involved in providing education and with audit and research projects. In addition to local quality improvement and audit projects I most recently co-authored an observational study undertaken during the COVID-19 pandemic. I have led on implementing Martha's Rule within my team and help provide data for ongoing National Health Service England (NHSE) audit.

I established the role of femoral and radial arterial blood sampling into CCOT and was the first person within the local critical care to achieve the non-medical prescribing qualification and have written the scope of practice for new prescribers within CCOT. Within practice I have established a team role for requesting x-rays and CT scans and routinely have to interpret chest x-rays as part of clinical practice.

I am certified to provide ultrasound guided cannulation and have an interest in developing wider ultrasound skills as part of my advancing practice; I have completed a course in FUSIC Heart Lung Ultrasound but still need to complete competencies in this area. Another area of advanced practice includes supporting tracheostomy care within my local hospital; this includes changing tracheostomies routinely and during emergencies.

I provide senior management under supervision of our senior nurse. This includes elements of CCOT management including recruitment, supervising staff in addition to direct and in-direct leadership during medical emergencies.

As a part of my role, I am proactively in a number of organisational and governance forums. This involves participating in data sharing, expert opinion and policy development.

• January 2026: Compassionate engagement and involvement with Martha's Rule and PSIRF
• January 2026: Updated Non-medical referral for X-rays and CT scanning originally completed 2002
• January 2026: Current: Mandatory training up to date
• April 2025: Review and update of Non-medical prescribing scope of practice
• June 2024: Ashbridge Leadership Alumni study day
• March 2024: Re-certified Advanced life Support Instructorship
• July - September 2023: Ashbridge Leadership modular course
• January 2024: Bromley emergency courses - FUSIC Heart and Lung Ultrasound
• February 2018: Barts Transfer and Simulation Course
• June 2016: Ultrasound Guided Cannulation course
• September 2011: Provider of Paediatric Education for Pre-Hospital Professionals (PEPP)
• May 2005: NCEPOD - An Acute Problem launch
• June 2003: ALERT Course Train the Trainers

• Volunteer as a community first responder
• Enjoy countryside and coastal walks with our dog
• Fishing

In addition to my existing advanced clinical practitioner role:

• I hold a current full driving C2 Licence + Urgent Tier non-emergency driving
• I volunteer as a community first responder for The East of England Ambulance Service
• Respond to pre-hospital medical emergencies
• Provide first person a scene support for the ambulance service
• Provide initial assessment and commence immediate treatment in life threatening emergencies out of hospital
• Update ambulance control
• Collaborate as part of a team within the ambulance service
• Work alongside other professionals such as the Fire Service and Police attending medical emergencies